10 Ways to Create a Culture of Immunization Within Our Pediatric Practice - PowerPoint Presentation

Slide1

10 Ways to Create a Culture of Immunization Within Our Pediatric Practice

[INSERT NAMES OF PRESENTERS]

[INSERT YOUR PRACTICE’S NAME AND LOGO]

Last updated March 2019Slide2

HOW TO PREPARE FOR THIS PRESENTATION

Review your practice’s current immunization procedures. If they differ from the recommendations presented here, be

prepared to discuss these differences and how you plan to change your procedures. Gather your practice’s immunization coverage data for infants/young children and adolescents through your EMR or immunization information system (IIS). Contact your state or local IIS coordinator if you need assistance. Insert your rates into

slide 5.Insert your practice’s immunization policy or philosophy into

slide 8. Customize slide 11

to indicate where staff can find CDC clinical resources.

Insert the name of your state immunization information system (IIS) into

slide 12

.

Make copies of the FAQ fact sheet listed on

slide 15

.

If applicable, customize

slide 19

to include similar text from your electronic medical record (EMR) system.

DELETE THIS SLIDE.Slide3

Learning Objectives

After today’s session you should be able to:

Understand why we need a culture of immunization Cite our current immunization coverage rates

Describe how all office staff play a part in creating a culture of immunizationDescribe several ways to create a culture of immunizationSlide4

Why do we need a culture of immunization?

We are committed to protecting children through

full coverage and on-time immunization.Healthcare professionals are

parents’ most trusted source of information about vaccines.

Parents’ confidence is increased when they receive the same information from different people.Inconsistent messages from staff may confuse parents and create mistrust.Slide5

How well is our practice doing?

Healthy People 2020 Objectives 90% coverage for individual infant vaccines (children 19-35 months)

80% coverage for the 7-vaccine series* (children 19-35 months)80% coverage for Tdap,

meningococcal conjugate and HVP (adolescents 13-15 years)INSERT YOUR PRACTICE IMMUNIZATION RATES

Infants and young childrenAdolescents

*DTaP, polio, MMR, Hib, hepatitis B, varicella, PCV

Source:

https://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases/objectives Slide6

Everyone plays a part

A culture of immunization starts at the front desk and extends into the waiting

room, into the exam room, and finally to the check out desk.

Everyone plays a part:Receptionists and other support staff

Nurses and nurse practitionersPhysicians and physician assistants

Medical assistants

Office manger

Vaccine coordinatorSlide7

10 Ways to Create a Culture of Immunization

Make parents aware of our immunization philosophy and policy.

Keep

up to date on current CDC vaccine recommendations.

Make clinical resources readily available to staff.

Assess a child’s immunization status at

every

visit.

Give strong recommendations for immunization.

Help parents feel supported by welcoming

questions and

knowing

how to answer them.

Give

Vaccine Information Statements (VIS) and handouts to answer specific

questions

Make immunization

resources

easy

for parents to find.

Schedule

follow-up

immunization appointments

before the child leaves the office.

Remind parents about upcoming immunization appointments and contact those who miss appointments.

Slide8

1. Make parents aware of our practice immunization philosophy/policy

INSERT YOUR PRACTICE PHILOSOPHY/POLICY OR PROVIDE HARD COPIES IF IT IS TOO LONG TO FIT ON THIS SLIDE.

Ways to make parents aware of our

policy:Posting

it on our websiteInserting a copy in new parent packets

Telling parents about it during their first

visit

Posting it in the waiting roomSlide9

2. Keep up to date on CDC recommendations

CDC updates the immunization schedules every February.

Immunization guidance may change during the year based on recommendations by the Advisory Committee on Immunization Practices (ACIP).Two versions of the schedule

Clinician version—different ways to access Parent-friendly version (English and Spanish)

www.cdc.gov/vaccines/schedulesSlide10

How else can we stay up-to-date?

Participate in CDC educational programs for healthcare professionals on immunization recommendations and related topics including:

Current Issues in Immunization NetConference (CIINC)

Pink Book webinar series

You Call the ShotsAll educational program have CE available

Sign up for CDC email alerts

Vaccine questions? Email CDC at

nipinfo@cdc.gov

www.cdc.gov/vaccines/ed/index.htmlSlide11

3. Make clinical resources readily available to staff

Use CDC clinical

guidelines, resources and job aids including those on:

Vaccine storage and

handlingVaccine

administration

Videos are available on vaccine administration, storage and handling best practices and guidelines

You can find CDC clinical resources

[Describe where they can find them. Ex: bookmarked on your web browsers, in a binder, etc.]

www.cdc.gov/vaccines/hcp/index.htmlSlide12

4. Assess a child’s vaccination status at every visit

Check

[INSERT NAME OF YOUR STATE IIS] for the child’s vaccines.Assess the status at well visits, sick visits, and follow-up visits.

Screen for contraindications and precautions each time vaccines are given.Give

all eligible vaccines

in the same

visit

This strategy will…

reduce missed opportunities to vaccinate

reinforce the message that vaccinations are importantSlide13

5. Give strong and compelling recommendations for immunization

An effective recommendation from a

healthcare professional is the main reason parents decide to vaccinate.

Office staff should reinforce recommendations given by doctors and nurses.Bundle all vaccines into one recommendation and use a presumptive approach: “Michael is going to get 5 vaccines today:

DTaP, rotavirus

, Hib, pneumococcal, and polio.”

Explain the importance of each vaccine and every dose.

Share personal experiences with vaccine-preventable diseases and vaccinating your own children.Slide14

6. Help parents feel supported by welcoming questions and knowing how to answer them

Most parents have questions, even if they plan to vaccinate.Questions do not

necessarily equal concerns.Learn how to answer common questions from parents (see following slide).If you are unsure how to answer a question, refer it to the doctor, nurse or other vaccine expert in the practice.Slide15

Common questions about infant immunization

Are vaccines safe?

What are the side effects of vaccines? How do I treat them?What are the risks and benefits of vaccines?Is there a link between vaccines and autism?

Can vaccines overload my baby’s immune system?Why are so many doses needed for each vaccine?

Why do vaccines start so early?What do you think of delaying some vaccines or following a non-standard schedule?

Haven’t we gotten rid of most of these diseases in this country?

What are combination vaccines? Why are they used?

Can’t I just wait until my child goes to school to catch up on immunizations?

Why does my child need a chickenpox shot? Isn’t it a mild disease?

My child is sick right now. Is it okay for her to still get shots?

What are the ingredients in vaccines and what do they do?

Don’t infants have natural immunity? Isn’t natural immunity better than the kind from vaccines?

Do I have

to vaccinate

my baby on schedule even if I’m breastfeeding him?

What’s wrong with delaying some of my baby’s vaccines if I’m planning on getting them all eventually?

Get answers at: www.cdc.gov/vaccines/parents/parent-questions.htmlSlide16

CDC’s Provider Resources for Vaccine Conversations with Parents

www.cdc.gov/vaccines/conversations

Guidelines for talking to parents about vaccines

Vaccine safety fact sheets

Vaccine preventable disease fact sheets (English and Spanish)

Information for parents who choose not to vaccinate

Video showing pediatrician answering moms’ questionsSlide17

7. Give Vaccine Information

Statements (VIS) and handouts to answer specific questions

Federal law requires that VIS be given with each vaccine.Give the VIS before

administering any vaccines.If parents have specific questions, give handouts from credible sources:CDC’s Provider Resources (see previous slide)

CDC Infant Immunization FAQ (English and Spanish)Children’s Hospital of Philadelphia Vaccine Education Center

Immunization Action Coalition

www.cdc.gov/vaccines/hcp/vis

www.cdc.gov/vaccines/parents/parent-questions.html

www.chop.edu/centers-programs/vaccine-education-center

www.immunize.org/handouts

/Slide18

8. Make immunization resources easy for parents to find

Include information in new patient packets.

Display posters, flyers and/or immunization schedules in exam rooms.Syndicate CDC content or post CDC web buttons on our website.Share resources

via social media or email blasts.Insert auto-text dot phrases into electronic medical records for easy printing (see following slide).

www.cdc.gov/vaccines/partners/childhood/multimedia.htmlSlide19

Sample auto-text dot phrase

Information about Immunization

We are so excited that you want to learn more about protecting your child through on-time immunization! Our healthcare professionals trust these websites:

Centers for Disease Control and Prevention:

creating-culture-of-IZ-in-your-practice-UPDATES 2_26_19.pptxChildren’s Hospital of

Philadelphia

www.chop.edu/vaccine

AAP’s Healthy Children website:

https://www.healthychildren.org

Immunization

Action Coalition:

http://immunize.org/

Vaccinate Your Family:

http://www.vaccinateyourfamily.org/

Please call us at

(xxx) xxx-xxxx

and ask to speak with

[NAME]

if you have any questions.Slide20

9. Schedule follow-up immunizations before the child leaves the office

Schedule the next immunization appointment before a

parent leaves.

Make sure that the next appointment falls within the recommended timeframe of the CDC schedule. If a parent defers scheduling the appointment, offer to call them a few days later.

Give older children a sticker or other small prize and tell them they did a great job. Slide21

10. Remind parents about upcoming immunization appointments and contact those who miss appointments

Give reminders by phone, text, email, or postcard.

Give reminders when children are in for sick visits.Explain why: A child is not fully protected until she receives all doses.

If a child misses an appointment, call the parents to follow-up.Slide22

Other resources for healthcare professionals

CDC immunization training:

https://www.cdc.gov/vaccines/ed/index.html CDC-Medscape Expert Commentaries

: http://

www.medscape.com/partners/cdc/public/cdc-commentary

AAP

Immunization Resources:

https://

www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/immunizations/Pages/Immunizations-home.aspx

Immunization

Action

Coalition

http://immunize.org/

Medical Assistants Resources and Training

on Immunization (MARTI):

http://marti-us.org

/ Slide23

Questions?

Questions?